Surgical Associates Endoscopy Clinic LLC
NPI 1033195912 · Ambulatory Surgical Clinic/Center · Aberdeen, SD
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Surgical Associates Endoscopy Clinic LLC is a Ambulatory Surgical Clinic/Center organization in Aberdeen, SD (NPI 1033195912).
Provider details
- NPI number
- 1033195912
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bradley Olson, General Manager(605) 229-1367
- License
- 48090 (SD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
996 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 299 | $309 |
| Diagnostic Exam of Large Bowel Using a Flexible Endoscope45378 | 248 | $418 |
| Removal of Polyps Or Growths of Large Bowel Using a Flexible Endoscope With Electrical Cautery45384 | 132 | $544 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 97 | $419 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 92 | $546 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Avera Endoscopy/Surgical Center
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2009-04-14
Frequently asked questions
- What is Surgical Associates Endoscopy Clinic LLC's NPI number?
- Surgical Associates Endoscopy Clinic LLC's National Provider Identifier (NPI) is 1033195912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgical Associates Endoscopy Clinic LLC?
- Surgical Associates Endoscopy Clinic LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgical Associates Endoscopy Clinic LLC located?
- Surgical Associates Endoscopy Clinic LLC's practice location on file with NPPES is 310 S Pennsylvania St, Aberdeen, SD 57401-4553.
- What is Surgical Associates Endoscopy Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgical Associates Endoscopy Clinic LLC is (605) 229-1367.
- Does Surgical Associates Endoscopy Clinic LLC accept Medicare?
- Surgical Associates Endoscopy Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Surgical Associates Endoscopy Clinic LLC?
- The authorized official listed on Surgical Associates Endoscopy Clinic LLC's NPPES record is Bradley Olson, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgical Associates Endoscopy Clinic LLC's NPI active?
- Yes — Surgical Associates Endoscopy Clinic LLC's NPI (1033195912) is active in the NPPES registry as of the last update on 2009-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.